Clinical Documentation Specialist - Hybrid - Remote

Overview

The Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding and reporting of high-quality healthcare data.

In Short

• Hybrid position requiring location in or near Baltimore, MD.
• Works under the direction of the Site Manager of the Clinical Documentation Integrity program.
• Ensures accurate documentation for healthcare data coding.
• Guided by ACDIS and AHIMA ethical standards.
• Requires certification as a Clinical Documentation Specialist within 2 years of hire.
• Education requirements include RN, MD, PA, CRNP, CCS, RHIT, or RHIA.
• Experience in clinical documentation is essential.
• Part of a large medical system with growth opportunities.
• Competitive salary range offered.
• Confidentiality of applicant information is maintained.

Requirements

• Registered Nurse (RN), Physician (MD), or equivalent qualifications.
• Must obtain CCDS or CDIP certification within 2 years.
• Experience in clinical documentation integrity preferred.
• Strong understanding of healthcare data coding.
• Ability to work in a hybrid environment.
• Excellent communication skills.
• Knowledge of ethical standards in clinical documentation.
• Commitment to professional growth and development.
• Attention to detail and accuracy in documentation.
• Team-oriented with ability to work independently.

Benefits

• Comprehensive benefits package as per the 2024-2025 UMMS Benefits Guide.
• Opportunities for professional growth.
• Supportive work environment.
• Competitive salary.
• Confidential handling of applicant information.